Individual provider Active NPI

Stephen Howard Bury Fiol, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1538518501
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22041 Issued in PR
Practice address
Paseo Villa Flores 2864 Cii Hibiscus
Ponce, PR 00716
Phone
(787) 841-2878
NPI assigned
Jun 9, 2016
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 22041 PR Primary

Addresses

Primary practice location

Paseo Villa Flores 2864 Cii Hibiscus
Ponce, PR 00716

Mailing address

Paseo Villa Flores 2864 Cii Hibiscus
Ponce, PR 00716
Phone (787) 841-2878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201203001285 PR Practitioner - Internal Medicine 1153732730 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R.E.P Medical Serv, CSPGroup PAC ID 4486893260, 3 clinicians

Practice addresses (Care Compare)

2864 Calle Hibiscus
Ponce, PR 00716-2914
Phone (787) 841-2878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
R.E.P Medical Serv, CSP Single Specialty CurrentSince Oct 20, 2020 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

2864 Calle Hibiscus
Ponce, PR 00716
Phone (787) 651-7076

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1538518501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO VILLA FLORES 2864 CII HIBISCUS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-841-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO VILLA FLORES 2864 CII HIBISCUS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-841-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURY FIOL",
        "first_name": "STEPHEN",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.